Final RAI assessment for nursing homes HSA period Nov-Feb 2026
26th March 2026
RAI assessment is used to assess the quality of care and the needs of residents in nursing homes (Real Resident Accommodation). This assessment is carried out three times a year and is intended to assess the health and care needs of residents based on the results of 20 quality indicators. It must be kept in mind that quality indicators are indicators of how treatment and care are provided in nursing homes and not absolute truths.
Quality criteria for individual quality indicators have both upper and lower quality criteria. A poor quality criterion (upper limit) indicates that an issue needs to be further investigated and ways to improve it need to be sought. A good quality criterion (lower limit) is the criterion that is considered to describe good or excellent care and treatment.
Of the 20 quality criteria, HSA exceeds the upper quality criterion in 2 quality indicators in the period Nov-Feb 2026, which is 2 quality indicators less than last time. Of these 2 quality indicators, the national average is also exceeded in one of them and on the line in the upper quality criterion in the other. HSA is below the lower quality criterion in 4 quality indicators, which is two more quality indicators than last time. The national average never falls below the lower quality criterion. If we compare the results of HSA's quality indicators on the one hand and the national average on the other, HSA is below the national average in 6 quality indicators (two more than last time), a similar result to the national average in another 6 quality indicators (was 4) and above the national average in 8 quality indicators (was 12).
HSA is doing well in terms of quality indicators for the prevalence of body restraints, the prevalence of bedridden residents, the prevalence of urinary and fecal incontinence without regular toilet visits, and the prevalence of fecal impaction, which is below the lower quality standard there and the national average. HSA has achieved good results with the quality standard for the prevalence of urinary tract infections, which has reached the lower quality standard there and is now considerably below the national average, but recently there has been consistent work to reduce urinary tract infections in nursing homes, including by strengthening education for staff. Work to improve the quality indicator for depressive symptoms has also yielded results, and HSA has now fallen below the upper quality standard for the prevalence of depressive symptoms without treatment. The quality standard for depressive symptoms has also decreased slightly since last time. The issues that need to be examined more closely relate to the prevalence of use of 9 or more medications and the prevalence of urinary catheters. HSA is above the upper quality standard and the national average there and has remained unchanged since the last measurements.
The so-called nursing burden can be assessed with the RAI measuring instrument, but nursing burden is used to indicate how much pressure there is on nursing homes over a certain period.
Nursing burden in nursing homes HSA was measured at 1.12 for the period Nov-Feb 2026, a considerable increase from the last time or by 0.05. However, this is still below the national average where nursing burden is 1.26. Of the 97 who were assessed, 9 HSA clients are measured with nursing burden around or above the national average, those with the highest score have 1.63. The lowest score is 0.89 but the median is 1.12 or the same as the average.
When assessing nursing burden, the RUG classification is used and the classification depends on how complex or specialized the nursing care is, as well as how much assistance the resident needs with ADL (activities of daily living) or how much training/activity the person receives in the nursing home. This actually means how much service the person receives in the nursing home. There are 7 categories in total, but they are then divided into 44 subcategories depending on how many points the person receives for ADL. About 40% of HSA nursing home residents fall into the category of special rehabilitation and about 25% into the category of reduced physical skills. It should be noted that the highest score you can get is 1.79 in the top category of special rehabilitation, the second highest in the top category is extensive nursing care (1.63), and the lowest is 0.66 in the bottom category of behavioral problems. Residents can fall into all of these categories but register in the category that has the highest weight.